Research Article
Factors Associated with Cardiorespiratory Fitness
in a Swiss Working Population
Sara Kind,
1
Stefanie Brighenti-Zogg,
1
Jonas Mundwiler,
1
Ulla Schüpbach,
2
Jörg D. Leuppi ,
1,3
David Miedinger,
1,3
and Thomas Dieterle
1,3
1
University Clinic of Medicine, Cantonal Hospital Baselland, Liestal, CH, Switzerland
2
University Department of Radio-Oncology, lnselspital, Bern University Hospital, Bern, CH, Switzerland
3
Faculty of Medicine, University of Basel, Basel, CH, Switzerland
Correspondence should be addressed to Tomas Dieterle; thomas.dieterle@ksbl.ch
Received 23 January 2019; Accepted 11 March 2019; Published 2 July 2019
Academic Editor: Mark Willems
Copyright © 2019 Sara Kind et al. Tis is an open access article distributed under the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background. Good cardiorespiratory ftness (high VO
2max
) has benefcial efects on morbidity and mortality. Terefore, a tool to
estimate VO
2max
in daily clinical practice is of great value for preventing chronic diseases in healthy adults. Tis study aimed at
exploring the cardiometabolic profle in a representative Swiss working population. Based on these insights, a regression model
was derived revealing factors associated with VO
2max
. Methods. Cross-sectional data of 337 healthy and full-time employed adults
recruited in the Basel region, Switzerland, were collected. Anthropometric measurements to compute body mass index (BMI) and
waist circumference (WC) were performed. A 20-meter shuttle run test was conducted to determine individual VO
2max
. Heart rate
(HR) was measured at rest, during maximal exertion, and two minutes afer exercise. Systolic (SBP) and diastolic blood pressure
(DBP) were assessed at rest and afer exercise. A multiple linear regression model was built to identify a set of nonexercise predictor
variables of VO
2max
. Results. Complete data of 303 individuals (63% male) aged 18 to 61 years (mean 33 ± 12 years) were considered
for analysis. Te regression model (adjusted R
2
= 0.647, SE = 5.3) identifed sex ( = -0.699, p < 0.001), WC ( = -0.403, p <
0.001), diference of maximal to resting HR ( = 0.234, p < 0.001), smoking ( = -0.171, p < 0.001), and age ( = -0.131, p <
0.01) as the most important factors associated with VO
2max
, while BMI, SBP, and DBP did not contribute to the regression model.
Conclusions. Tis study introduced a simple model to evaluate VO
2max
based on nonexercise parameters as part of daily clinical
routine without needing a time-consuming, cost-intense, and physically demanding direct assessment of VO
2max
. Knowledge about
VO
2max
may help identifying individuals at increased cardiovascular risk and may provide the basis for health counselling and
tailoring preventive measures.
1. Introduction
Physical inactivity is rising on a global scale, thus yielding
dramatic consequences for the general health of the pop-
ulation and representing a huge burden to the healthcare
systems [1]. According to the World Health Organization
(WHO), inactive individuals have higher levels of body
fat and are at higher risk for cardiovascular (CV) disease
compared to regularly active persons [1]. Physical inactivity
is estimated to be the fourth leading risk factor for mortality
worldwide [1]. Nevertheless, previous studies indicated that
cardiorespiratory ftness measured as maximal oxygen uptake
(VO
2max
) is more closely correlated with CV risk factors than
physical activity [2]. VO
2max
, defned as the maximum rate
at which oxygen can be utilized by the body during maximal
exertion, is usually given in ml of consumed oxygen per kg of
body weight per min and values range from <20 ml/kg/min
in inactive adults to 70-94 ml/kg/min in athletes [3]. Factors
afecting VO
2max
include oxygen difusion capacity of the
lungs, cardiac output, oxygen transport capacity of the blood,
capillary density of the muscles, and muscular mitochondria
mass [3]. VO
2max
further depends on sex, age, genetics, body
fat, medical conditions, and smoking [4–6]. Obesity was
also found to correlate with lower maximal oxygen uptake
and poorer cardiorespiratory ftness [7]. Longitudinal studies
indicated that a low VO
2max
is an independent and strong
Hindawi
Journal of Sports Medicine
Volume 2019, Article ID 5317961, 8 pages
https://doi.org/10.1155/2019/5317961